From the *Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA; †Department of Anesthesiology, Wake Forest School of Medicine, Winston, Salem, NC; and ‡Department of Anesthesiology, Hospital for Special Surgery, New York, NY.
Reg Anesth Pain Med. 2014 May-Jun;39(3):195-9. doi: 10.1097/AAP.0000000000000075.
Regional blocks are frequently invasive procedures that create the risk of infection, local anesthetic toxicity, and wrong-site performance. National guidelines have been developed by the Joint Commission and the American Society of Regional Anesthesia and Pain Medicine (ASRA) to reduce the potential for each of these risks. Checklists have been shown to reduce errors and complications in medicine: it seems prudent to incorporate the recommended safety steps into a formalized checklist to be reviewed before performance of a regional block. A task force appointed by the ASRA President reviewed available resources and recommendations and performed a survey of RAPM members at the ASRA annual meeting in May 2013 and proposed a 9-point checklist to fulfill this role. Although it is apparent that local modification will be needed, the basic points and principles should be adopted for the performance of regional blocks.
区域阻滞是一种常见的有创性操作，可能导致感染、局部麻醉药物毒性和部位错误等风险。为了降低这些风险，美国联合委员会和美国区域麻醉与疼痛医学学会（ASRA）制定了国家指南。清单已经被证明可以减少医学中的错误和并发症：将推荐的安全步骤纳入正式的清单中，在进行区域阻滞之前进行审查，这似乎是明智的。ASRA 主席任命的一个工作组审查了现有的资源和建议，并在 2013 年 5 月的 ASRA 年会上对 RAPM 成员进行了调查，提出了 9 点清单来履行这一职责。虽然显然需要进行局部修改，但应采用这些基本要点和原则来进行区域阻滞操作。
